Individual provider · Type 1 NPI

Jamie Lee Theriault, APRN

Nurse Practitioner · Westbrook, ME

NPI number 1063996809 Active

Practice location

11 Rock Row Ste 120
Westbrook, ME 04092-4877

Fax (207) 250-2139

Mailing address

PO Box 911
Brattleboro, VT 05302-0911

Other practice locations

  • 2 Independence Dr, Kennebunk, ME 04043-6078 · (207) 303-3300
  • 15 Rock Row Ste 110, Westbrook, ME 04092-4877 · (207) 303-3300
  • 105 Topsham Fair Mall Rd Unit 1, Topsham, ME 04086-1773 · (207) 303-3300

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XARNP9376950 (FL)
Nurse Practitioner Primary 363L00000XCNP181272 (ME)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063996809

Jamie Lee Theriault, APRN's National Provider Identifier is 1063996809, issued on Sep 18, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Westbrook, ME. The record was last updated on Apr 21, 2026.